Resident Health Quality » Heritage Health-Mount Zion

Used in Quality Measure Five Star Rating - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents whose ability to move independently worsened 17.2 7.9 23.4 17.3
Percentage of high risk long-stay residents with pressure ulcers 9.8 5.3 5.4 7.4
Percentage of long-stay residents experiencing one or more falls with major injury 1.7 3.4 3.2 3.4
Percentage of long-stay residents whose need for help with daily activities has increased 13.8 8.9 11.5 13.5
Percentage of long-stay residents who self-report moderate to severe pain 10.5 13.8 4.0 9.4
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.3 2.1 0.0 1.7
Percentage of long-stay residents with a urinary tract infection 0.0 7.0 3.2 3.0
Percentage of long-stay residents who received an antipsychotic medication 15.8 12.7 13.6 13.4

Used in Quality Measure Five Star Rating - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents who made improvements in function 77.1 * * 81.5
Percentage of short-stay residents who newly received an antipsychotic medication 0.0 0.0 0.0 0.0
Percentage of short-stay residents who self-report moderate to severe pain 3.1 7.1 * 8.9

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.4 27.6 25.8 24.4
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.0 97.0 97.0 97.0
Percentage of long-stay residents who lose too much weight 6.8 15.8 8.1 8.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 68.3 100.0 100.0 91.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 50.0 53.1 59.5 54.1
Percentage of long-stay residents who have depressive symptoms 1.7 0.0 0.0 0.5
Percentage of long-stay residents who were physically restrained 0.0 0.0 0.0 0.0

Additional Quality Measures - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 81.6 81.6 81.6 81.6
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 67.6 93.8 96.4 83.9
  1. * Not Available - The number of residents is too small to report.  Call the facility to discuss this quality measure.

Nursing homes regularly collect assessment information on all their residents using a form called the Minimum Data Set. The information collected includes the residents' health, physical functioning, mental status, and general well being. Nursing homes self-report this information to Medicare.

About Quality Measures

References

  1. http://www.medicare.gov/NursingHomeCompare/Data/Long-Stay-Residents.html
  2. http://www.medicare.gov/NursingHomeCompare/Data/Short-Stay-Residents.html